Joseph Timothy Pellegrino, AUD, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1655 Issued in NY

Practice address

8272 Codys Cors
Cicero, NY 13039-7927

Phone

(315) 443-2352

NPI assigned

Aug 30, 2007

Last updated

Aug 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Syracuse UniversityGroup PAC ID 8527191626, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Syracuse University

  • Audiologist
  • Syracuse, NY
  • NPI 1558339473
  Medicare reassignment Care Compare group NPD Authorized official
• Syracuse University

  • Speech-Language Pathologist
  • Syracuse, NY
  • NPI 1609928217
  NPD Authorized official
• Syracuse University

  • Student Health Clinic/Center
  • Syracuse, NY
  • NPI 1447338819
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1871787010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8272 CODYS CORS",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130397927",
            "telephone_number": "315-443-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8272 CODYS CORS",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130397927",
            "telephone_number": "315-443-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "JOSEPH",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "1655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02127411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paolo S Pastore, MD
• Christopher Tadeusz Pawelek, DDS
• Bonnie Payer, D.M.D.
• Kristen Pearce
• Shelby Peck
• Penn Traffic Company the (P and C Food and Pharmacy 3025)
• Russell A. Perez, D.C.
• Lucas Pettit
• Katherine Pfohl
• Philmont Family Dental Care PLLC

• Audiologist-Hearing Aid Fitter in Cicero, NY
• Providers in Cicero, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.